Abstract
HER2 gene amplification is an established predictive and prognostic marker in breast cancer. Since there are conflicting reports as to the significance of HER2 gene amplification in pancreatic cancer, we undertook this study. We studied HER2 gene amplification, HER2 copy numbers, and chromosome 17 copy numbers using fluorescence in situ hybridization in 63 cases of resected pancreatic cancer. Sixteen tumors (25%) had HER2 gene amplification, 7 (11%) had increased HER2 copy numbers, and 11 (17%) had increased chromosome 17 copy numbers. No statistical significance was found between the genetic parameters and tumor characteristics, stage, or survival. To the best of our knowledge, this is the largest case series reporting HER2 gene amplification status and its association with tumor characteristics and survival in pancreatic cancer in the literature. Although a significant percentage (25%) of pancreatic cancers demonstrate amplification of the HER2 gene, we find no association of HER2 gene amplification or chromosome 17 hyperploidy with poorer survival.
Similar content being viewed by others
References
Jemal A, Siegel R, Ward E, Murray T, Xu J, Smigal C, Thun MJ (2006) Cancer statistics, 2006. CA Cancer J Clin 56:106–130
Schafer M, Mullhaupt B, Clavien PA (2002) Evidence-based pancreatic head resection for pancreatic cancer and chronic pancreatitis. Ann Surg 236:137–148. doi:10.1097/00000658-200208000-00001
Maheshwari V, Moser AJ (2005) Current management of locally advanced pancreatic cancer. Nat Clin Pract Gastroenterol Hepatol 2:356–364. doi:10.1038/ncpgasthep0240
Neoptolemos JP, Stocken DD, Friess H, Bassi C, Dunn JA, Hickey H, Beger H, Fernandez-Cruz L, Dervenis C, Lacaine F, Falconi M, Pederzoli P, Pap A, Spooner D, Kerr DJ, Buchler MW (2004) A randomized trial of chemoradiotherapy and chemotherapy after resection of pancreatic cancer. N Engl J Med 350:1200–1210. doi:10.1056/NEJMoa032295
Yeo CJ, Cameron JL, Lillemoe KD, Sitzmann JV, Hruban RH, Goodman SN, Dooley WC, Coleman J, Pitt HA (1995) Pancreaticoduodenectomy for cancer of the head of the pancreas. 201 patients. Ann Surg 221:721–731; discussion 731–723
Yeo CJ, Cameron JL, Sohn TA, Lillemoe KD, Pitt HA, Talamini MA, Hruban RH, Ord SE, Sauter PK, Coleman J, Zahurak ML, Grochow LB, Abrams RA (1997) Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes. Ann Surg 226:248–257; discussion 257–260
Paik S, Shak S, Tang G, Kim C, Baker J, Cronin M, Baehner FL, Walker MG, Watson D, Park T, Hiller W, Fisher ER, Wickerham DL, Bryant J, Wolmark N (2004) A multigene assay to predict recurrence of tamoxifen-treated, node-negative breast cancer. N Engl J Med 351:2817–2826. doi:10.1056/NEJMoa041588
Greene FL, Page DL, Fleming ID, Fritz AG, Balch CM, Haller DG, Morrow M (2002) Ajcc cancer staging manual, 6th edn. Springer, Berlin Heidelberg New York
Ionescu DN, Sasatomi E, Cieply K, Nola M, Dacic S (2005) Protein expression and gene amplification of epidermal growth factor receptor in thymomas. Cancer 103:630–636. doi:10.1002/cncr.20811
Perez EA, Roche PC, Jenkins RB, Reynolds CA, Halling KC, Ingle JN, Wold LE (2002) Her2 testing in patients with breast cancer: poor correlation between weak positivity by immunohistochemistry and gene amplification by fluorescence in situ hybridization. Mayo Clin Proc 77:148–154
King CR, Kraus MH, Aaronson SA (1985) Amplification of a novel v-erbb-related gene in a human mammary carcinoma. Science 229:974–976. doi:10.1126/science.2992089
Karunagaran D, Tzahar E, Beerli RR, Chen X, Graus-Porta D, Ratzkin BJ, Seger R, Hynes NE, Yarden Y (1996) Erbb-2 is a common auxiliary subunit of ndf and egf receptors: implications for breast cancer. Embo J 15:254–264
Petit AM, Rak J, Hung MC, Rockwell P, Goldstein N, Fendly B, Kerbel RS (1997) Neutralizing antibodies against epidermal growth factor and erbb-2/neu receptor tyrosine kinases down-regulate vascular endothelial growth factor production by tumor cells in vitro and in vivo: angiogenic implications for signal transduction therapy of solid tumors. Am J Pathol 151:1523–1530
Giatromanolaki A, Koukourakis MI, Simopoulos C, Polychronidis A, Gatter KC, Harris AL, Sivridis E (2004) C-erbb-2 related aggressiveness in breast cancer is hypoxia inducible factor-1alpha dependent. Clin Cancer Res 10:7972–7977. doi:10.1158/1078-0432.CCR-04-1068
Yarden Y, Sliwkowski MX (2001) Untangling the erbb signalling network. Nat Rev Mol Cell Biol 2:127–137. doi:10.1038/35052073
Ross JS, Fletcher JA (1998) The her-2/neu oncogene in breast cancer: prognostic factor, predictive factor, and target for therapy. Oncologist 3:237–252
Menard S, Fortis S, Castiglioni F, Agresti R, Balsari A (2001) Her2 as a prognostic factor in breast cancer. Oncology 61 Suppl 2:67–72. doi:10.1159/000055404
Menard S, Balsari A, Casalini P, Tagliabue E, Campiglio M, Bufalino R, Cascinelli N (2002) Her-2-positive breast carcinomas as a particular subset with peculiar clinical behaviors. Clin Cancer Res 8:520–525
Masood S, Bui MM (2002) Prognostic and predictive value of her2/neu oncogene in breast cancer. Microsc Res Tech 59:102–108. doi:10.1002/jemt.10181
Slamon DJ, Leyland-Jones B, Shak S, Fuchs H, Paton V, Bajamonde A, Fleming T, Eiermann W, Wolter J, Pegram M, Baselga J, Norton L (2001) Use of chemotherapy plus a monoclonal antibody against her2 for metastatic breast cancer that overexpresses her2. N Engl J Med 344:783–792. doi:10.1056/NEJM200103153441101
Vogel CL, Cobleigh MA, Tripathy D, Gutheil JC, Harris LN, Fehrenbacher L, Slamon DJ, Murphy M, Novotny WF, Burchmore M, Shak S, Stewart SJ, Press M (2002) Efficacy, safety of trastuzumab as a single agent in first-line treatment of her2-overexpressing metastatic breast cancer. J Clin Oncol 20:719–726. doi:10.1200/JCO.20.3.719
Slamon DJ, Clark GM, Wong SG, Levin WJ, Ullrich A, McGuire WL (1987) Human breast cancer: correlation of relapse and survival with amplification of the her-2/neu oncogene. Science 235:177–182. doi:10.1126/science.3798106
Slamon DJ, Godolphin W, Jones LA, Holt JA, Wong SG, Keith DE, Levin WJ, Stuart SG, Udove J, Ullrich A, et al (1989) Studies of the her-2/neu proto-oncogene in human breast and ovarian cancer. Science 244:707–712. doi:10.1126/science.2470152
Sauer T, Wiedswang G, Boudjema G, Christensen H, Karesen R (2003) Assessment of her-2/neu overexpression and/or gene amplification in breast carcinomas: should in situ hybridization be the method of choice? Apmis 111:444–450. doi:10.1034/j.1600-0463.2003.t01-1-1110210.x
Dolan M, Snover D (2005) Comparison of immunohistochemical and fluorescence in situ hybridization assessment of her-2 status in routine practice. Am J Clin Pathol 123:766–770. doi:10.1309/Q0DG-L26R-UCK1-K5EV
Mass RD, Press MF, Anderson S, Cobleigh MA, Vogel CL, Dybdal N, Leiberman G, Slamon DJ (2005) Evaluation of clinical outcomes according to her2 detection by fluorescence in situ hybridization in women with metastatic breast cancer treated with trastuzumab. Clin Breast Cancer 6:240–246
Safran H, Iannitti D, Ramanathan R, Schwartz JD, Steinhoff M, Nauman C, Hesketh P, Rathore R, Wolff R, Tantravahi U, Hughes TM, Maia C, Pasquariello T, Goldstein L, King T, Tsai JY, Kennedy T (2004) Herceptin and gemcitabine for metastatic pancreatic cancers that overexpress her-2/neu. Cancer Invest 22:706–712. doi:10.1081/CNV-200032974
Koka V, Potti A, Koch M, Fraiman G, Mehdi S, Levitt R (2002) Role of immunohistochemical identification of her-2/neu and detection of variability in overexpression in pancreatic carcinoma. Anticancer Res 22:1593–1597
Koeppen HK, Wright BD, Burt AD, Quirke P, McNicol AM, Dybdal NO, Sliwkowski MX, Hillan KJ (2001) Overexpression of her2/neu in solid tumours: an immunohistochemical survey. Histopathology 38:96–104. doi:10.1046/j.1365-2559.2001.01084.x
Day JD, Digiuseppe JA, Yeo C, Lai-Goldman M, Anderson SM, Goodman SN, Kern SE, Hruban RH (1996) Immunohistochemical evaluation of her-2/neu expression in pancreatic adenocarcinoma and pancreatic intraepithelial neoplasms. Hum Pathol 27:119–124. doi:10.1016/S0046-8177(96)90364-0
Dugan MC, Dergham ST, Kucway R, Singh K, Biernat L, Du W, Vaitkevicius VK, Crissman JD, Sarkar FH (1997) Her-2/neu expression in pancreatic adenocarcinoma: relation to tumor differentiation and survival. Pancreas 14:229–236. doi:10.1097/00006676-199704000-00003
Apple SK, Hecht JR, Lewin DN, Jahromi SA, Grody WW, Nieberg RK (1999) Immunohistochemical evaluation of k-ras, p53, and her-2/neu expression in hyperplastic, dysplastic, and carcinomatous lesions of the pancreas: evidence for multistep carcinogenesis. Hum Pathol 30:123–129. doi:10.1016/S0046-8177(99)90265-4
Zhang L, Yuan SZ (2002) Expression of c-erbb-2 oncogene protein, epidermal growth factor receptor, and tgf-beta1 in human pancreatic ductal adenocarcinoma. Hepatobiliary Pancreat Dis Int 1:620–623
Saxby AJ, Nielsen A, Scarlett CJ, Clarkson A, Morey A, Gill A, Smith RC (2005) Assessment of her-2 status in pancreatic adenocarcinoma: correlation of immunohistochemistry, quantitative real-time rt-pcr, and fish with aneuploidy and survival. Am J Surg Pathol 29:1125–1134. doi:10.1097/01.pas.0000160979.85457.73
Stoecklein NH, Luebke AM, Erbersdobler A, Knoefel WT, Schraut W, Verde PE, Stern F, Scheunemann P, Peiper M, Eisenberger CF, Izbicki JR, Klein CA, Hosch SB (2004) Copy number of chromosome 17 but not her2 amplification predicts clinical outcome of patients with pancreatic ductal adenocarcinoma. J Clin Oncol 22:4737–4745. doi:10.1200/JCO.2004.05.142
Tsiambas E, Karameris A, Dervenis C, Lazaris AC, Giannakou N, Gerontopoulos K, Patsouris E (2006) Her2/neu expression and gene alterations in pancreatic ductal adenocarcinoma: a comparative immunohistochemistry and chromogenic in situ hybridization study based on tissue microarrays and computerized image analysis. JOP 7:283–294
Moore MJ, Goldstein D, Hamm J, Figer A, Hecht JR, Gallinger S, Au HJ, Murawa P, Walde D, Wolff RA, Campos D, Lim R, Ding K, Clark G, Voskoglou-Nomikos T, Ptasynski M, Parulekar W (2007) Erlotinib plus gemcitabine compared with gemcitabine alone in patients with advanced pancreatic cancer: a phase III trial of the National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol 25(15):1960–1966.
DiGiovanna MP, Stern DF, Edgerton SM, Whalen SG, Moore D 2nd, Thor AD (2005) Relationship of epidermal growth factor receptor expression to erbb-2 signaling activity and prognosis in breast cancer patients. J Clin Oncol 23:1152–1160. doi:10.1200/JCO.2005.09.055
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sharif, S., Ramanathan, R.K., Potter, D. et al. HER2 Gene Amplification and Chromosome 17 Copy Number Do Not Predict Survival of Patients with Resected Pancreatic Adenocarcinoma. Dig Dis Sci 53, 3026–3032 (2008). https://doi.org/10.1007/s10620-008-0267-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10620-008-0267-1